| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $85.11 | $85.11 | $85.11 | |
Aetna
| Professional | $56.23 | $70.79 | $154.88 | |
Aetna
| Professional | 25 | $56.23 | $138.04 | $208.93 |
Anthem BCBS
| Professional | $34.67 | $60.26 | $114.82 | |
Cigna
| Professional | $60.26 | $97.72 | $181.97 | |
ConnectiCare
| Professional | $89.13 | $117.49 | $165.96 | |
United
| Professional | $61.66 | $85.11 | $131.83 |